Plaintiff-Appellant Paul LaForge (“La-Forge”) appeals the district court’s grant of summary judgment against him in his suit for a declaratory judgment that he was entitled to coverage for a claim under a directors’ and officers’ liability policy stemming from his service as a director for a savings and loan association. The insurer, American Casualty Co., asserted that his thrift had provided it insufficient notice of the claim to trigger coverage under the policy. After the district court agreed with American Casualty’s argument, LaForge brought this appeal. We affirm.
I. FACTS
LaForge was a director of the Peoples Savings and Loan Association (the “thrift”) in Parsons, Kansas until February 11, 1985. LaForge resigned from the directorship because he believed that a number of the transactions the management entered into were imprudent and that he had not been adequately informed of the thrift’s investments. He noted these reasons in his letter of resignation to the thrift’s president, which was not passed along to the thrift’s insurer.
The thrift had purchased a directors and officers liability policy from the MGIC Indemnity Corp., with a policy period from February 1983 to February 1986. MGIC’s policy obligations were assumed by the American Casualty Co. in November 1983.
■The thrift failed in 1989, and was placed into receivership, with the RTC as receiver. In 1992, the RTC brought a civil action against the officers and former officers of the thrift, including LaForge, alleging negligence, gross negligence, and breach of their fiduciary duty. LaForge requested that American Casualty company defend him under the provisions of the directors and officers liability policy. American Casualty refused to defend LaForge because, it claimed, neither LaForge nor the thrift gave it notice of a claim during the policy period. LaForge then brought this action for a declaratory judgment to establish that the thrift provided adequate notice of occurrences that might give rise to a claim in a policy renewal application submitted to American Casualty on October 25, 1985.
The thrift’s directors and officers liability policy was a claims made policy, as opposed to an “occurrence” policy. Thus, American Casualty insured against claims brought against the insured during the policy period,
If during the policy period the Association or the Directors or Officers shall: ... (ii) become aware of any occurrence which may subsequently give rise to a claim being made against the Directors and Officers, or any of them, for a Wrongful Act; and shall, during such period, give written notice thereof to the Insurer as soon as practicable and prior to the date of termination of the policy, then any claim which may subsequently be made against the Directors or Officers arising out of such Wrongful Act shall, for the purpose of this policy, be treated as a claim made during the policy year in which such notice was given.
MGIC Policy, § 6(A), ApltApp. at 24. Thus, the policy would provide coverage to the thrift and its officers if, within the policy period, they provided written notice of occurrences that might give rise to a claim for a wrongful act. A “wrongful act” is defined in section 1(E):
The term ‘Wrongful Act” shall mean any actual or alleged error, misstatement, misleading statement, act or omission, or neglect or breach of duty by the Directors or Officers in the discharge of their duties solely in their capacity as Directors or Officers of the Association....
LaForge asserts that a 1985 application for a renewal of the insurance policy and the subsequent investigation by American Casualty provided adequate notice to trigger coverage. LaForge claims that the answer and attachment to question 12(c) of the application provided notice. Question 12(c) asks whether any director or officer was aware of “[a]ssets subject to criticism as substandard, doubtful or loss, the total of which exceeds 25% of capital.” The thrift replied yes and attached a sheet that listed seven “Mortgage Loans Classified Substandard.” Two of these loans, the Champions Green II and the Newport North Associates loans, were eventually the subject of the RTC suit. The attached sheet listing the loans was from a report of an examination by the Federal Home Loan Bank Board, performed in 1984. In the attachment, the thrift noted that both loans were current, one with interest rate concessions and the other with a “loan in process.” Several other loans listed on the attachment had similar comments, such as “Loan was paid off with no loss of principal” and “Loan is current with interest payments being made from Loan in Process.” The application also asked whether any of the officers were aware of any “ [significant violations of laws and regulations,” to which the thrift answered “no”.
After the receipt of the application, one of American Casualty’s underwriters, Spero Ar-gyris, investigated the issues in the application, including the two loans that were to be part of the RTC suit. Argyris noted that the thrift’s financial condition was deteriorating. He also investigated why LaForge quit, and was told that LaForge did so, of his own desire, to spend more time with his personal business. He noted that the Federal Home Loan Bank Board had criticized the thrift’s substandard assets, but commented that “these have been for the most part corrected.”
Argyris recommended renewal of the policy. The renewal policy reduced the amount of coverage from $1 million to $500,000, and included endorsements in the policy that excluded certain risks from coverage, such as any claims brought by or on behalf of regulatory agencies, by or on behalf of LaForge, and for “any loan which-has been charged off as loss, is sixty (60) days or more delinquent in repayment according to its terms, or is defined as Scheduled Items.” Aplt.App. at 219. LaForge claims that these limitations indicate that the insurer had actual notice of potential claims against the directors and officers of the thrift. American Casualty claims, substantiated by affidavit, that the endorsement excluding coverage for departing directors was a regular practice of Argyr-is and not a specific reaction to possible claims against the thrift.
II. DISCUSSION
We review the grant of summary judgment de novo, using the same standard as the district court.
Applied Genetics Int’l, Inc. v. First Affiliated Sec., Inc.,
Under Kansas and general common law relating to the interpretation of insurance contracts, we are bound by clear and unambiguous language, construing the document as a whole.
Phico Ins. Co. v. Providers Ins. Co.,
LaForge argues that information contained in the thrift’s renewal application sufficed to put American Casualty on notice of occurrences that might have given rise to claims against the directors of the thrift.' We disagree.
The policy that protected LaForge was a claims made policy. Under a claims made policy, coverage is only triggered when, during the policy period, an insured becomes aware of and notifies the insurer of either claims against the insured or occurrences that might give rise to such a claim. This differs significantly from an “occurrence” policy, in which coverage attaches automatically whenever a covered occurrence takes place within the effective dates of the policy.
In a “claims made” policy, the notice is the event that invokes coverage under the policy. Clear notice of a claim or occurrence during the policy period is crucial, because allowing actual notice beyond the policy period would “constitute!! ] an unbargained-for expansion of coverage, gratis, resulting in the insurance company’s exposure to a risk substantially broader than that expressly insured against in the policy.”
American Cas. Co. v. Continisio,
Notice in a “claims made” policy provides the insurer with the knowledge that after a certain date the insurer is no longer liable under the policy, and accordingly allows the insurer to more accurately fix its reserves for future liabilities and compute premiums with greater certainty. Such a policy reduces the potential exposure of the insurer, thus reducing the policy cost to the insured.
F.D.I.C. v. St. Paul Fire and Marine Ins. Co.,
With this understanding of the nature of claims made insurance contracts, we agree with the Third Circuit that:
Because the notice of claim provision defines coverage under this policy, the only reasonable interpretation of the policy provision is that the insureds must regard the information they possess as a potential claim and formally notify their insurer through its claims liability department that a claim may be asserted. .
Continisio,
The thrift’s renewal application did not provide this information, in part, because of the context in which the information was provided. It was provided in an application form designed to seek a continuation of coverage from the insurer’s underwriters, rather than in a document designed to seek recovery under the policy in effect at the time through American Casualty’s claims mechanism. Although that fact would not by itself necessarily be fatal, it requires an unmistakably clear, unequivocal, and conspicuous statement of a claim in such a context to satisfy the notice requirements of the insurance contract.
Nowhere in the renewal application is there notice of an “occurrence” or any “Wrongful Act.”
See St. Paul,
Indeed, at the time of the renewal application, the thrift listed as “current,” the status of the two loans that became the subject of the RTC suit. Further, the thrift’s application claimed that it had not been alerted to any possible violations of laws or regulations. Far from intending to put the insurer on notice of past problems likely to lead to claims against the directors, the application played down any problems both generally and with regard to the two listed loans that became the subject of the RTC suit. “Insureds may not deny knowledge of potential claims in their renewal application and rely on information submitted with the same application to support an argument that the insurer should have known a claim could be made.”
Continisio,
Taking the [insured’s] argument to its logical conclusion would result in a situation where the bank directors and officers would be better served to disguise potential claims so that they would be covered by insurance well into the future while not drawing attention to conduct that might increase future premiums, or terminate coverage altogether.
American Cas. Co. of Reading, Pa. v. F.D.I.C.,
LaForge argues that the insurer’s investigation of the thrift’s health to determine whether to renew the policy shows that the thrift had notice of occurrences that could give rise to claims against the directors. In
Phico,
we applied Kansas law to hold that an insurance company could waive its right under an insurance contract without an express forfeiture clause to receive written notice of a claim where the insured provided: 1) “timely and adequate oral notice” to the insurer’s claims manager; and 2) the insurer acted on “the notice given to undertake an adequate investigation in order to determine its rights and liabilities.”
Phico,
Similarly, the fact that American Casualty changed the coverage in the renewal policy does not indicate to us that it had notice of occurrences that could give rise to claims under the previous policy. American Casualty’s exclusion of bad loans from coverage and reduction of coverage reflected the insurer’s desire to minimize future risk rather than an acknowledgment of a receipt of notice. “[A change in coverage] does not prove that the financial information conveyed to [the insurer] by the Bank objectively rose to the level of notice of specific wrongful acts. It reflects only that [the insurer] made a ‘reasonable business decision’ ... when confronted with the Bank’s financial weakness.”
Mijalis,
The result we reach is consistent with recent cases in other circuits.
E.g. Resolution Trust Corp. v. Artley,
Accordingly, we AFFIRM the district court’s grant of summary judgment to American Casualty.
